Vivanti, G., Tao, S., Lyall, K., Robins, D. L., & Shea, L. L. (2021). The prevalence and incidence of early-onset dementia among adults with autism spectrum disorder. Autism research : official journal of the International Society for Autism Research, 14(
he prevalence and incidence of early-onset dementia among adults with Autism Spectrum Disorder (ASD) is currently unknown. In this case-control study, the prevalence and incidence of early-onset dementia in individuals with ASD was examined during 2008 – 2012 using Medicaid Analytic eXtract files. Participants were 30–64 year-old adults who were Medicaid beneficiaries and had either a diagnosis of ASD only (n=12,648), a diagnosis of ASD with co-occurring Intellectual Disability (n=26,168), a diagnosis of ID without ASD (n=406,570), or no ASD nor ID diagnoses (n=798,828). The 5-Year prevalence of dementia was 4.04% among adults with ASD only, and 5.22% for those with ASD and co-occurring ID. This prevalence was higher compared to the prevalence of dementia in individuals with no ASD and no ID (0.97%), but lower compared to individuals with ID only (7.10%). Risk factors associated with the increased prevalence in the general population were similarly associated with the increased risk of dementia in individuals with ASD. Even after adjusting for these risk factors, compared to the general population, dementia was found to occur more frequently in individuals with ASD only (adjusted hazard ratio, 1.96; 95% CI, 1.69–2.28), as well as individuals with ASD and co-occurring ID (adjusted hazard ratio, 2.89; 95% CI, 2.62–3.17). In conclusion, adults with ASD under the age of 65 were approximately 2.6 times more likely to be diagnosed with dementia compared to the general population in our study.